NPI | 1609810498 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: DC PSY1001218) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CT 002211) |
Enumeration Date | 2006-06-15 |
Last Update Date | 2017-01-25 |